DR. RALPH PAUL FERENCHAK (NPI# 1881826956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881826956 |
| Entity Type | Individual |
| Full Name | DR. RALPH PAUL FERENCHAK |
| Other Name | DR. R PAUL FERENCHAK |
| Credential | MD |
| Practice Address |
1676 Sunset Ave Utica NY 13502-5416 |
| Practice Telephone | 3156245226 |
| Practice Fax Number | 3156245279 |
| Mailing Telephone | 3156245226 |
| Mailing Fax Number | 3156245279 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
116774 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00570489 | 05 |
| Street Address |
1676 SUNSET AVE |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221367 | Tamim J Khaliqi | Anesthesiology | 1676 Sunset Ave, Utica, NY 13502-5416 | 2005-08-10 |
| 1437797503 | Jody Lynn Henry | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-19 |
| 1083252423 | Dominic Caccioppoli | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-17 |
| 1962040519 | Michelle Jordan | Physical Therapy Assistant | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-13 |
| 1215575014 | Lillian Zambri | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1104464817 | Lindsey Zustovich | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1619515426 | Megan Krol | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1225676026 | Leann Mogensen | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1023656832 | Sierra Servadio | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1396383295 | Joanne Davis | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053491936 | Mario Carrillo | Surgery | 1676 Sunset Ave, 4th Floor, Utica, NY 13502 | 2006-10-16 |
| 1972690196 | Surgical Associates of Utica, PC | Surgery | 2206 Genesee St, Utica, NY 13502-5829 | 2006-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.